Artificial Induction of Labor with Misoprostol: Maternal and Fetal Prognosis at the Referral Health Center of Commune I of the District of Bamako  

作　　者：Mamadou Bakary Coulibaly Alassane Traoré Mody Abdoulaye Camara Mamadou Sima Bourama Kané Kalba Tembiné Ibrahima Tégueté Youssouf Traoré Mamadou Bakary Coulibaly;Alassane Traoré;Mody Abdoulaye Camara;Mamadou Sima;Bourama Kané;Kalba Tembiné;Ibrahima Tégueté;Youssouf Traoré(Department of Gynecology of Hôpital du Mali, Bamako, Mali;Service of Anesthesia and Resuscitation of Hôpital du Mali, Bamako, Mali;Service of Gynecology-Obstetrics CHU Point G, Bamako, Mali;Service of Pediatric of Hôpital du Mali, Bamako, Mali;Service of Medical Imaging of Hôpital du Mali, Bamako, Mali;Service of Gynecology-Obstetrics CHU Gabriel Toure, Bamako, Mali)

机构地区：[1]Department of Gynecology of Hô pital du Mali, Bamako, Mali [2]Service of Anesthesia and Resuscitation of Hô pital du Mali, Bamako, Mali [3]Service of Gynecology-Obstetrics CHU Point G, Bamako, Mali [4]Service of Pediatric of Hô pital du Mali, Bamako, Mali [5]Service of Medical Imaging of Hô pital du Mali, Bamako, Mali [6]Service of Gynecology-Obstetrics CHU Gabriel Toure, Bamako, Mali

出　　处：《Open Journal of Obstetrics and Gynecology》2021年第2期70-79,共10页妇产科期刊（英文）

摘　　要：Artificial induction of labor (AIL) is the set of techniques intended to induce childbirth in order to reduce maternal-fetal mortality. The aim of this paper was to study the maternal and fetal prognosis after the artificial induction of labor with misoprostol. It was a descriptive prospective study conducted from September 1, 2018 to February 28, 2019 at the maternity unit of the Referral Health Center (RHC) in commune I of Bamako. It was about any pregnant woman at term who had received misoprostol as part of the artificial induction of labor. 102 cases of artificial induction with misoprostol 200 μg were collected out of 3641 deliveries, or a frequency of 2.8%. The age group 28 - 32 years accounted for 56.86% with an average age of 28.8 years. Multiparous represented 54.90% of the number. The history of diabetes and hypertension involved 37.25% of the pregnant women. The main indication was premature rupture of membranes (PRM) (40.2%). Induction was performed between the 37</span>^{<span style="font-family:Verdana;">th</span>}<span style="font-family:Verdana;"> and 41</span>^{<span style="font-family:Verdana;">st</span>}<span style="font-family:Verdana;"> week of amenorrhea (69.6%). The trigger index according to BISHOP was greater than 7 (50.98%). Induction was done only with 3/4 of misoprostol tablet 200 μg (43.14%). The average labor time was 7 hours (89.22%). The vaginal birth concerned 92.16% of pregnant women. An APGAR10 was noted in 97.85% of newborns after 05 minutes. AIL with misoprostol was practiced at the Center. The main indication was the premature rupture of the membranes. It improves the maternal and fetal prognosis.Artificial induction of labor (AIL) is the set of techniques intended to induce childbirth in order to reduce maternal-fetal mortality. The aim of this paper was to study the maternal and fetal prognosis after the artificial induction of labor with misoprostol. It was a descriptive prospective study conducted from September 1, 2018 to February 28, 2019 at the maternity unit of the Referral Health Center (RHC) in commune I of Bamako. It was about any pregnant woman at term who had received misoprostol as part of the artificial induction of labor. 102 cases of artificial induction with misoprostol 200 μg were collected out of 3641 deliveries, or a frequency of 2.8%. The age group 28 - 32 years accounted for 56.86% with an average age of 28.8 years. Multiparous represented 54.90% of the number. The history of diabetes and hypertension involved 37.25% of the pregnant women. The main indication was premature rupture of membranes (PRM) (40.2%). Induction was performed between the 37</span>^{<span style="font-family:Verdana;">th</span>}<span style="font-family:Verdana;"> and 41</span>^{<span style="font-family:Verdana;">st</span>}<span style="font-family:Verdana;"> week of amenorrhea (69.6%). The trigger index according to BISHOP was greater than 7 (50.98%). Induction was done only with 3/4 of misoprostol tablet 200 μg (43.14%). The average labor time was 7 hours (89.22%). The vaginal birth concerned 92.16% of pregnant women. An APGAR10 was noted in 97.85% of newborns after 05 minutes. AIL with misoprostol was practiced at the Center. The main indication was the premature rupture of the membranes. It improves the maternal and fetal prognosis.

关 键 词：Induction MISOPROSTOL Maternal and Fetal Prognosis Commune I 

分 类 号：R16[医药卫生—公共卫生与预防医学]